2019 ASPO Summer Meeting: Frontiers in Pediatric Otolaryngology

July 21‐24, 2019 Vail Marriott Mountain Resort | Vail, CO

Registration Hours Registration will be open in the Colorado Ballroom Foyer during the following hours:

Saturday, July 20: 3:00 pm – 6:00 pm Sunday, July 21: 6:30 am – 12:00 pm Monday, July 22: 7:00 am – 12:00 pm Tuesday, July 23: 7:00 am – 12:00 pm Wednesday, July 24: 7:00 am – 12:00 pm

Educational Sessions All educational sessions will be held in Colorado Ballroom Salon 2, apart from Roundtable Sessions on Monday, July 22. Roundtables will take place in Mountain View 1, Mountain View 2, and Berry Picker.

Poster Presentations Poster abstracts will be on display in the Berry Picker and Mountain View rooms from Sunday, July 21 – Wednesday, July 24. Join authors for the dedicated Poster Session on Sunday, July 21 from 5:30 – 6:30 pm. The full poster listing is provided in this program.

Industry Support Displays A commercial display of scientific interest will be available during the meeting, providing attendees with an opportunity to view products and services from various corporations. We invite you to visit our exhibitors in Colorado Ballroom Salon 1 from 7:00 am – 12:00 pm, Sunday, July 21 – Wednesday, July 24. The full exhibitor and supporter listing is provided in this program.

Meals Breakfast and Coffee Breaks will be provided each day in Colorado Ballroom Salon 1. The Welcome Reception takes place on Sunday, July 21 from 6:30 – 8:00 pm on the Mountain View Patio. In the event of inclement weather, the Reception will be held in Colorado Ballroom.

All registered attendees, guests, and children are welcome at meal functions; badges/tickets are required.

Speaker Presentations Presentations will be loaded onto the PC at the technician table. Please submit your presentation to the technician’s table at the back of the Colorado Ballroom AT LEAST TWO HOURS PRIOR TO THE START OF THE SESSION (not the start of your presentation). All presentations need to be loaded/tested on the computer prior to the start of the day’s session. Wireless Internet Access We are pleased to offer complimentary wireless internet in the meeting space.

Network: Marriott Conference Password: aspo2019 (all lower case)

Conference & Association Management

Association Management c/o American College of Surgeons 633 N. Saint Clair St. Chicago, IL 60611‐3211

Representatives from ACS will be present at the conference and will be wearing recognizable identification. Please feel free to approach them with questions or if you require assistance of any kind.

Disclaimer Attendees voluntarily assume all risks involved in travel to and from the ASPO Summer Meeting and in attendance of and participation in the program. ASPO and Association Management by the ACS shall not be liable for any loss, injury, or damage to person or property resulting directly or indirectly from any acts of God, acts of government or other authorities, civil disturbances, acts of terrorism, riots, thefts, or from any other similar causes.

Continuing Medical Education Credit Information:

CONTINUING MEDICAL EDUCATION CREDIT INFORMATION

Accreditation This activity has been planned and implemented in accordance with the Essential Areas and Policies of the

Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the

American College of Surgeons and the American Society of Pediatric Otolaryngology. The American College

of Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™ The American College of Surgeons designates this live activity for a maximum of 14.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Information: In compliance with ACCME Accreditation Criteria, the American College of Surgeons, as the accredited provider of this activity, must ensure that anyone in a position to control the content of the educational activity has disclosed all relevant financial relationships with any commercial interest. All reported conflicts are managed by a designated official to ensure a bias‐free presentation. Please visit http://aspo.us/summer for the complete disclosure list. Continuing Education Information If you wish to receive Continuing Education credits for ASPO educational sessions, please visit our website at http://aspo.us/summer to complete the evaluation. All attendees will receive the electronic evaluation via email after the conference. Your certificate will confirm your CME Credits. If you have any questions, please contact [email protected].

Program Learning Objectives:  Describe the etiologies of pediatric dysphagia in the 0 – 2 year‐old population and develop a diagnostic algorithm for dysphagia  Apply the “Four Topics” decision making model currently and commonly used in bioethics consultations  Discuss surgical techniques and time considerations in management of primary cholesteatoma, revisions, and reconstructions  Describe several ways in which common EHR systems, including Epic, and other electronic and communication tools can be used to facilitate quality improvement while minimizing clinician work burden.  Outline a strategy for initiating a TORS program at their institution.  Develop a curriculum to engage the 21st Century learner using the new tools presented, including options for the use of technology and simulation.

Exhibitors The American Society of Pediatric Otolaryngology wishes to recognize and thank the following companies for their commercial promotion towards the ASPO 2019 Summer Meeting. Please gratefully acknowledge their support by visiting their booth.

GOLD SUPPORT Medtronic Smith Medical

SILVER SUPPORT Acclarent Advanced Bionics Bryan Medical, Inc. Cook Medical Grace Medical, Inc. Inspire Medical Systems Kurz Medical, Inc. MedPro Equipment Medtronic Microline Surgical Modernizing Medicine Optinose Oticon Medical Olympus Smith & Nephew

Additional Educational Support The American Society of Pediatric Otolaryngology wishes to recognize and thank Arbor Pharmaceuticals for their ongoing commercial support.

Sunday, July 21, 2019 TIME TOPIC/SESSION SPEAKERS/MODERATORS LOCATION 7:00 ‐ 7:30 am Breakfast with Exhibitors Colorado Ballroom Salon 1 7:30 ‐ 7:35 am Introductions Anna Messner, MD Colorado Ballroom Salon 2 7:35 ‐ 8:25 am Mini‐Seminar 1: Strategies for Safety: Case Studies of Using Ellis Arjmand, MD, Colorado the Electronic Health Record and Other Modern Tools to MMM, PhD Ballroom Salon 2 Improve Quality, Efficiency, and Time Management Karthik Balakrishnan, MD, MPH Jennifer Lavin, MD Douglas Sidell, MD 8:25 ‐ 8:55 am How I Do It Panel 1: Utilizing Simulation for Positive Tulio Valdez, MD Colorado Educational, Safety and Culture Change Katherine Kavanagh, MD Ballroom Salon 2

8:55 ‐ 9:40 am Podium Abstract Presentations Colorado Ballroom Salon 2 8:55 ‐ 9:03 am Management of Pediatric Cervical Lymphadenopathy Tammy Wang, MD 9:03 ‐ 9:11 am Using Social Media to Engage and Educate Parents: An Elisa Berson, BS Analysis of Missed Opportunities in Pediatric Otolaryngology 9:11 ‐ 9:19 am Children's use of percutaneous bone‐conduction implants Patricia Purcell, MD, MPH may differ based upon type of hearing loss 9:19 ‐ 9:27 am Comparing Outcomes in Pediatric Major Ear Surgery with and Elizabeth Walker, MSc without a Superficial Cervical Plexus Block 9:27 ‐ 9:40 am Q&A 9:40 ‐ 10:10 Coffee Break with Exhibitors Colorado am Ballroom Salon 1 10:10 ‐11:00 Mini‐Seminar 2: Chronic Otitis Media and Cholesteatoma: A Carol Liu, MD Colorado am Continuing Conundrum Prashant Malhotra, MD Ballroom Salon 2 Marc Thorne, MD 11:00 ‐ 11:30 Advanced Pediatric Otolaryngology Review Panel 1: Otology Sharon Cushing, MD Colorado am Carissa Wentland, MD Ballroom Salon 2 11:30 am ‐ How I Do It Panel 2: Single visit surgery (SVS) for Shraddha Mukerji, MD, Colorado 12:00 pm tympanostomy tube (TT) placement: How to make it work FACS Ballroom Salon 2 in your practice Kathleen Billings, MD Mary Francis Musso, DO Sohail Shah, MD, MSHA, FAAP 5:30 ‐ 6:30 pm Poster Session Berry Picker, Mountain View 6:30 ‐ 8:00 pm Welcome Reception Mountain View Patio

Monday, July 22, 2019

TIME TOPIC/SESSION SPEAKERS/MODERATORS LOCATION 7:00 ‐ 7:30 am Breakfast with Exhibitors Colorado Ballroom Salon 1 7:30 ‐ 8:15 am Podium Abstract Presentations Colorado Ballroom Salon 2 7:30 ‐ 7:37 am Clinical and Endoscopic Predictive Factors in Pediatric Daniel Jensen, MD Invasive Fungal Sinusitis 7:37 ‐ 7:44 am Safety of non‐invasive positive pressure ventilation in post‐ Carolyn Mulvey Jenks, tonsillectomy patients MD 7:44 ‐ 7:51 am Utilization of Intensive Care Unit Following David Allen, BA Adenotonsillectomy for Sleep Apnea 7:51 ‐ 7:58 am National Outcomes of Tonsillectomy in Children with Sickle Robert Taylor, MD Cell Disease 7:58 ‐ 8:05 am Peritonsillar Abscess: the bacteriology of recurrence David Allen, BA 8:05 ‐ 8:15 am Q&A 8:15 ‐ 9:15 am Concurrent Roundable Sessions 8:15 ‐ 9:15 am Roundtable 1: Otology Ken Kazahaya, MD Mountain View 1 Sharon Cushing, MD 8:15 ‐ 9:15 am Roundtable 2: Sleep Norman Friedman, MD Mountain View 2 Nikhila Raol, MD 8:15 ‐ 9:15 am Roundtable 3: Airway Reza Rahbar, MD Berry Picker George Zalzal, MD 9:15 ‐ 10:15 Concurrent Roundable Sessions am 9:15 ‐ 10:15 Roundtable 4: Rhinology/Skull Base Jeff Rastatter, MD Mountain View 1 am Patrick Walz, MD Tord Alden, MD 9:15 ‐ 10:15 Roundtable 5: Head and Neck Pamela Mudd, MD Berry Picker am Gresham Richter, MD 9:15 ‐ 10:15 Roundtable 6: Drooling/Dysphagia Charlie Myer IV, MD Mountain View 2 am Margaret Skinner, MD 10:15 ‐ 10:40 Coffee Break with Exhibitors Colorado am Ballroom Salon 1 10:40 ‐ 11:30 Mini‐Seminar 3: Surgical Decision‐Making in Life‐ Prashant Malhotra, MD Colorado am Threatening Illnesses Amy Baughcum, PhD Ballroom Salon 2 Lisa Humphrey, MD Garey Noritz, MD Patrick Walz, MD 11:30 ‐ 12:00 Advanced Pediatric Otolaryngology Review Panel 2: Head & John Maddalozzo, MD Colorado am Neck / Airway Julina Ongkasuwan, MD Ballroom Salon 2

Tuesday, July 23, 2019

TIME TOPIC/SESSION SPEAKERS/MODERATORS LOCATION 7:00 ‐ 7:30 am Breakfast with Exhibitors Colorado Ballroom Salon 1 7:30 ‐ 8:10 am Mini‐Seminar 4: Advanced Practice Providers & Children's Kenny Chan, MD Colorado Hospital Based Pediatric Otolaryngology Practices Matthew Brigger, MD Ballroom Salon 2 Linda Brock, MSN, APRN, CPNP‐PC Anna Messner, MD George Zalzal, MD 8:10 ‐ 8:50 am Mini‐Seminar 5: Coding, Billing, Pre‐authorization & Kenny Chan, MD Colorado Collection: A Colorado Story Berj Ermoyan, MBA Ballroom Salon 2 Devona Gutierrez, MBA, CPC, CPMA

Sven Olrik Streubel, MD, MBA 8:50 ‐ 9:20 am Quickshot Abstract Presentations Colorado Ballroom Salon 2 8:50 ‐ 8:54 am Management of Pediatric Extranodal Rosai Dorfman Disease Mohamedkazim Alwani, in the Head and Neck: A Systematic Review MD 8:54 ‐ 8:58 am Balloon Dilation in Subglottic Stenosis Kaci DeJarnette, B.S. 8:58 ‐ 9:02 am Preoperative Infection Rate of Thyroglossal Duct Cysts Noor‐E‐Seher Ali, MD 9:02 ‐ 9:06 am Regional Variations in Tympanostomy Tube Surgery in Nour Bundogji, BS Children with Autism 9:06 ‐ 9:10 am Aural Atresia and Cholesteatoma Case Series Christian Francom, MD

9:10 ‐ 9:14 am Spring Cleaning: A Quality Improvement Plan for Aileen Larson, DO Implementing an Innovative Organization System for Pediatric Airway Patients 9:14 ‐ 9:20 am Q&A 9:20 ‐ 9:50 am Coffee Break with Exhibitors Colorado Ballroom Salon 1 9:50 ‐ 10:40 Mini‐Seminar 6: Optimization of Swallowing in Special Jennifer McLevy‐ Colorado am Populations Bazzanella, MD Ballroom Salon 2 Elizabeth Bryan, MSN, CPNP‐PC Amy Claire Petro, SLP 10:40 am ‐ Advanced Pediatric Otolaryngology Review Panel 3: Bill Collins, MD Colorado 11:10 pm Rhinology Ballroom Salon 2 11:10 ‐ 12:00 Mini‐Seminar 7: Conflict in Practice: Managing Emotion, John Schneider, MD, MA, Colorado am Engagement, and Bias for Positive Outcomes FACS Ballroom Salon 2 Ellis Arjmand, MD, MMM, PhD Karthik Balakrishnan, MD, MPH Dana Thompson, MD

Wednesday, July 24, 2019 TIME TOPIC/SESSION SPEAKERS/MODERATORS LOCATION 7:00 ‐ 8:00 am Group Hike Organized by the Young TBD Members Committee 8:00 ‐ 8:30 am Breakfast with Exhibitors Colorado Ballroom Salon 1 8:30 ‐ 9:20 am Wellness Invited Lecture Jenny Reese, MD Colorado Ballroom Salon 2 9:20 ‐ 9:50 am Advanced Pediatric Otolaryngology Review Panel 4: General Margo McKenna Benoit, Colorado MD Ballroom Salon 2 Claire Lawlor, MD 9:50 ‐10:20 am How I Do It Panel 3: Trans‐Oral Robotic Surgery (TORS) in Douglas Johnston, MD Colorado Pediatrics: Technique, Applications, and Getting Started Deepak Mehta, MD Ballroom Salon 2 Richard Schmidt, MD Carlton Zdanski, MD 10:20 ‐ 10:40 Coffee Break with Exhibitors Colorado am Ballroom Salon 1 10:40 ‐ 11:10 Quickshot Abstract Presentations Colorado am Ballroom Salon 2 10:40 ‐ 10:44 A Radiographic Analysis of Nasal Dimensions in Children with Hedyeh Ziai, MD am Apert and Crouzon Syndromes 10:44 ‐ 10:48 Lemierre's syndrome: A thing of the past? Nehal Dhaduk, BS am 10:48 ‐ 10:52 The effect of monopolar cautery settings on post‐ Ashley Altman, MD am tonsillectomy hemorrhage 10:52 ‐ 10:56 Post‐Tonsillectomy Bleeding: A National Perspective Nehal Dhaduk, BS am 10:56 ‐ 11:00 Post‐TympanostomyTube Otorrhea: A Survey of Jonathan Grischkan, MD, am Management Practices in the Pediatric Patient MS 11:00 ‐ 11:04 Sedation Withdrawal Following Single Stage Airway Lilun Li, MD am Reconstruction 11:04 ‐ 11:08 Prevalence of Eustachian Tube Dysfunction In Children With Leah Novinger, MD, PhD am Tracheostomy 11:08 ‐ 11:10 Q&A am 11:10 am ‐ Mini‐Seminar 8: Educating in the 21st Century: How Can We Meredith Merz Lind, MD Colorado 12:00 pm Adapt to Face the Challenges of a Changing Student ‐ Ballroom Salon 2 Eric Gantwerker, MD, Teacher Dyad? MMSc (MedEd) Gi Soo Lee, MD Gresham Richter, MD 12:00 pm Adjourn

Scientific Posters # Title Author Airway 1 Withdrawn 2 5 Peso Coin Masquerading as Possible Button Battery Ingestion Daniel Farishta, BS 3 SubglotticCyst Masquerading Croup In An Infant Alyson Kaplan, MD 4 Pediatric Tracheostomy Care at Home: Caregiver Burden and Quality of Carol Li, MD Life 5 Magnetic Foreign Bodies in the Pediatric Upper Airway: A Case and Jordan Malenke, M.D. Summary 6 Hidden Ties ‐ Posterior Ankyloglossia and Pharyngeal Dysphagia Cinzia Marchica, MD 7 An Unusual Case of Noisy Breathing, Sleep Disordered Breathing, and Jennifer Moylon, PA‐C Dysphonia in a Pediatric Patient 8 Laryngeal Obstruction after Anti‐N‐methyl‐D‐aspartate receptor Joseph Sinnwell, MD Encephalitis, a Serious but Delayed Sequela of a Systemic Rheumatologic Disease and its Treatment 9 Challenges of Diagnosis and Management of Tracheal Atresia ‐ A Case Cynthia Wang, MD Report 10 Haddad Syndome: A Need For Standardized Decannulation Protocol Allen Young, MD Craniofacial 11 Hard Palate Mass: An Unusual Presentation of Congenital Epulis Ashley Rodgers, MBS 12 Microglossia: its impact on lower and midface development, management Jerome Thompson, M.D. protocol and presentation of two cases Head/Neck 13 Primitive Myxoid Mesenchymal Tumor of Infancy of the Scalp: Case Report Steven Andreoli, MD and Review of the Literature 14 Cervicofacial Mycobacterial Infections: Definitive Identification of Jacquelyn DeVries, BS Mycobacterium Species is Associated with Decreased Disease Duration 15 Maxillary Fibromyxoma in a 2‐year‐old Madeleine Drusin, MD, MSc

16 Bottle Cap: An Unusual Oropharyngeal Foreign Body In An Infant Alyson Kaplan, MD 17 Nodular Fasciitis Masquerading: Clinical and Morphologic Clues to Avoid Eugene Postevka, MS Pitfalls 18 Oral Tongue Granular Cell Tumor in a Male Pediatric Patient: Report of a John Richards, MD Case and Review of the Literature 19 Congenital leiomyomatous hamartoma of the tongue: a case report and Nicholas Rossi, BA literature review Otitis Media 20 Bilateral Lateral Sinus Thrombosis Secondary To Acute Mastoiditis T. Luke Arnell, BA Otology 21 Persistent petrous apex lesion following meningitis in a pediatric patient Christine Barron, BA 22 Temporal Bone Radiologic Findings and Cochlear Implantation in Jenna Devare, MD Campomelic Dysplasia 23 Withdrawn

Scientific Posters Plastic & Reconstructive 24 Using Virtual Planning Technology to Create Customized Zygomatic Emily Pascal, Medical Implants for Malar Augmentation in Treacher Collins Syndrome Student Quality Initiatives & Health Policy 25 Holistic Care Of The Child With Tracheostomy Ashley Brown, MS 26 Occipital Pressure Ulcers Following Prolonged Sedation for ENT Surgery Emily Pascal, BA and Recovery Rhinology/Sinus 27 Intracranial complications of pediatric rhinosinusitis Corina Din‐Lovinescu, DO 28 Two Rare Cases of Sinonasal Vascular Malformation in the Pediatric Seerat Poonia, MD Population 29 Improvement of Cyclic Vomiting Syndrome with Functional Endoscopic Clare Richardson, MD Sinus Surgery in a Patient with Chronic Rhinosinusitis 30 Nasal pyogenic granuloma presenting with sudden unilateral epistaxis in Nicholas Rossi, BA the pediatric patient: a case report and review of the literature 31 Development and Management of an Anterior Skull Base Mucopyocele in Brendan Waldoch, MS the Context of Cystic Fibrosis Skull Base Surgery 32 Facial Swelling: An Unusual Presentation of Juvenile Nasopharyngeal Annica Eells, BS Angiofibroma Sleep 33 Drug Induced Sleep Endoscopy to Examine Vagal Nerve Stimulator‐Induced Kathleen Sarber, MD Upper Airway Obstruction in Pediatric Obstructive Sleep Apnea Tonsils & Adenoids 34 A case of Systemic Juvenile Xanthogranuloma presenting in the Samantha Allen, MD oropharynx and the role of the otolaryngologist in diagnosis. 35 Perioperative Pain and Anxiety Patient‐Reported Outcomes in Children Kathleen Billings, MD Undergoing Adenotonsillectomy 36 Dehydrated and in Pain: A National Perspective of Tonsillectomy Patients Nehal Dhaduk, BS 37 Primary Lymphangioma of the tonsil with actinomyces infection ‐ case Anna Frants, M.D. report and review of the literature 38 Subcutaneous Emphysema After Adenotonsillectomy Jaibir Pannu, B.S. 39 Endovascular Embolization for Control of Post‐Tonsillectomy Hemorrhage Alanna Windsor, MD